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Table 3 A summary table of artificial intelligence (AI) applications in segmentation of corneal endothelium and nerves, in reverse chronological order

From: Potential applications of artificial intelligence in image analysis in cornea diseases: a review

Year

Authors

Imaging modality

Sample size (eyes)

Study population

Outcome measures

AI algorithms

Diagnostic performance

Validation model

Corneal endothelium

 2023

Karmakar et al. [75]

Konan CellCheck XL

612

Healthy and diseased eyes

Segmentation of endothelial cells

Mobile-CellNet CNN

Mean absolute error: 4.06%

Hold-out validation

 2022

Qu et al. [136]

IVCM

97

Healthy, FECD and corneal endotheliitis eyes

Segmentation of endothelial cells

CNN

PCC: 0.818–0.932

Hold-out validation

 2020

Canavesi et al. [77]

GDOCM

10

Eye bank

Segmentation of endothelial cells

CNN

Correlation: 0.91–0.94

Cross validation

 2019

Bennett et al. [80]

JDS Uniphase, TOMEY TMS-5

10

Healthy eyes

Evaluation of corneal thickness

CNN

RMSE: 0.045–0.048

Acc: 84.82%–89.26%

Hold-out validation

 2019

Vigueras-Guillén et al. [137]

Topcon SP-1P

738

Patients with Baerveldt glaucoma device and DSAEK

Segmentation of endothelial cells

CNN

Mean absolute error: 4.32%–11.74%

Hold-out validation

 2019

Daniel et al. [70]

Topcon SP-3000

385

Database of healthy, endothelial disease and corneal graft eyes

Segmentation of endothelial cells

U-Net CNN

PCC: 0.96, Sens: 0.34%

Precis: 0.84%

Hold-out validation

 2018

Fabijańska et al. [73]

Specular microscopy

30

Dataset of endothelial cell images

Evaluation of corneal thickness

U-Net CNN

AUC: 0.92, Dice: 0.86

Mean absolute error: 4.5%

Hold-out validation

 2018

Vigueras-Guillén et al. [76]

Topcon SP-1P

103

Dataset of endothelial cell images

Evaluation of corneal thickness

SVM

Precis: P < 0.001

Acc: P < 0.001

Cross validation

Corneal nerves

 2023

Li et al. [93]

HRT-3 confocal microscopy

30

Eyes with slight xerophthalmia

Reconstruction of CSNP in images

NerveStitcher CNN

No validation or qualitative evaluation

N.A

 2022

Setu et al. [88]

IVCM

197

Healthy and DED eyes

Segmentation of CNF and DC

U-Net, Mask R CNNs

Sens: 86.1%–94.4%, Spec: 90.1%

Precis: 89.4%, ICC: 0.85–0.95

Cross validation

 2022

Mou et al. [89]

HRT-3 confocal microscopy

300

CORN1500 dataset images

Grading of corneal nerve tortuosity

ImageNet, AuxNet

Acc: 85.64%

Cross validation

 2021

Zéboulon et al. [95]

AS-OCT

607

Healthy and edematous corneas

Measurement of edema fraction

CNN

Threshold for diagnosis: 6.8%,

AUC: 0.994, Acc: 98.7%

Sens: 96.4%, Spec: 100%

Hold-out validation

 2021

Deshmukh et al. [96]

ASP

504

Genetically confirmed GCD2 patients

Segmentation of cornea lesions

U-Net, CNN

IoU: 0.81

Acc: 99%

Cross validation

 2021

Salahouddin et al. [138]

CCM

534

Healthy and type I diabetic eyes

DPN detection

U-net CNN

κ: 0.86, AUC: 0.86–0.95

Sens: 84%–92%, Spec: 71%–80%

Hold-out validation

 2021

McCarron et al. [86]

HRT-3 confocal microscopy

73

Healthy and SIV-infected macaque eyes

Characterize difference in CSNP in acute SIV infection

deepNerve CNN

SIV infection reduced CNFL and fractal dimension (P = 0.01, P = 0.008)

N.A

 2021

Yıldız et al. [139]

HRT-3 confocal microscopy

85

Healthy and chronic ocular surface pathology eyes

Segmentation of CSNP

GAN, U-Net CNN

PCC: 0.847–0.883

AUC: 0.8934–0.9439

N.A

 2020

Scarpa et al. [85]

CCM

100

Healthy and DPN eyes

Classification of DPN and healthy eyes

CNN

Acc: 96%

Cross validation

 2020

Williams et al. [84]

CCM

2137

Healthy and DPN eyes

Quantification of CSNP, detection of DPN

CNN

ICC: 0.656–0.933, AUC: 0.83

Spec: 87%, Sens: 68%

Hold-out validation

 2020

Wei et al. [140]

HRT-3 confocal microscopy

139

Healthy eyes

Segmentation of CSNP

CNS-Net CNN

AUC: 0.96, Precis: 94%

Sens: 96%, Spec: 75%

Hold-out validation

  1. Acc = accuracy; ANFIS = adaptive neurofuzzy inference system; AS-OCT = anterior-segment optical coherence tomography; ASP = anterior-segment photography; AUC = area under curve; CCM = corneal confocal microscopy; CNF = corneal nerve fibers; CNFL = corneal nerve fiber length; CNN = convoluted neural networks; CSNP = corneal sub-basal nerve plexus; DC = dendritic cells; DED = dry eye disease; DPN = diabetic peripheral neuropathy; DSAEK = Descemet stripping automated endothelial keratoplasty; FECD = Fuchs endothelial corneal dystrophy; GDOCM = Gabor-domain optical coherence microscopy; GRBF = Gaussian radial basis function; HIS = hyperspectral imaging; ICC = interclass correlation coefficient; IoU = intersection over union; IVCM = in vivo confocal microscopy; κ = kappa index; N.A. = not available; PCC = Pearson’s correlation coefficient; PEE = punctate epithelial erosions; Precis = precision; RMSE = root mean square error; Sens = sensitivity; Spec = specificity; SVM = support vector machine